Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 2013002133 | MO |
NPI | 1356689350 |
---|---|
Provider Name | Dr. Erika Beth Eckman |
First Address | La Jolla, CA 92037-4815 |
Second Address | La Jolla, CA 92037-4815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2013 |
Last Update Date | 20/08/2013 |